Dr. Robert Willard Kettlewell , DDS
Dentist - General Practice • Oceanside, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Robert Kettlewell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Robert Kettlewell, DDS was a registered Dentist - General Practice practicing in Oceanside, CA. Throughout an active medical career spanning 17 years, Dr. Kettlewell provided care at the practice location at 3142 VISTA WAY until profile deactivation on 2024-03-20.
Practice Location & Contact Primary Location
3142 Vista Way
#305
Oceanside, CA 920563619
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Oceanside, CA
Practicing in Oceanside, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Psychologist - Clinical
Doctor of Philosophy (Ph.D.)
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Social Worker - Clinical
Social Worker - Clinical
Licensed Clinical Social Worker
Psychologist - Clinical
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on March 20, 2024
NPI status registered as active in NPPES database
Registered at 3142 VISTA WAY, #305, OCEANSIDE, CA 920563619 (Tel: 7607221416)
Registered at 3142 VISTA WAY, #305, OCEANSIDE, CA 920563619 (Tel: 7607221416)
Recorded as ROBERT KETTLEWELL, D.D.S.
Dentist (License #40629 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3142 Vista Way, #305
Oceanside, CA 920563619
Phone: 7607221416
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